Megan Patricia Samples, is a medicare enrolled "Clinical Neuropsychologist" provider in Watervliet, Michigan. Her current practice location is
400 Medical Park Dr, Watervliet, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 463-3600.
Megan Patricia Samples is licensed to practice in Michigan (license number 6301019159) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043612724.
Healthcare Provider's Profile
Full Name | Megan Patricia Samples |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 400 Medical Park Dr, Watervliet, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043612724
- Provider Enumeration Date: 09/24/2014
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557738119
- Enrollment ID: I20221110002105
Medical Identifiers
Medical identifiers for Megan Patricia Samples such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043612724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301019159 (Michigan) | Secondary |
103TC0700X | Psychologist - Clinical | 6301019159 (Michigan) | Secondary |
103G00000X | Clinical Neuropsychologist | 6301019159 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Megan Patricia Samples allows following entities to bill medicare on her behalf.
Entity Name | Lakeland Community Hospital Watervliet |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
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Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Megan Patricia Samples is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Megan Patricia Samples, 400 Medical Park Dr, Watervliet, MI 49098-9225 Ph: () - | Megan Patricia Samples, 400 Medical Park Dr, Watervliet, MI 49098-9225 Ph: (269) 463-3600 |
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